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PERMIT APPLICATI0i-4 o y <br />I <br />CITY OF EVERETT PERMIT SERVICES g(«/ <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 <br />SITE ADDRESS Marina Village <br />PARCEL TAX I.D. # PE IT�#j <br />72,0 7 006 <br />1728 W. Marine View Dr. <br />LEGA LOT NO. BLOCK <br />TRACT <br />DESC. <br />OWNER ADDRESS ZIP PHONE <br />Coast Real Estate Services 2610 Wetmore Ave. Everett, WA 98201 (425) 339-3638 <br />_ Contact: William Burton r <br />TENANT NAME CONTACT FOR PERMIT ((�2 �J D2 -2153 <br />Dr. Robert I. Fink, M.D. Gary Parkinson Architects <br />���' �> "L L �'12l(r, fZYent ELt_t�IG-tFMt�-LJ <br />CONTRACTOR ADDRESS ZIP CONTR. LICENSE # <br />PHONE <br />PROPOSED USE OF BUILDING <br />PERMIT <br />Building D Mechanical <br />Combination U Plumbing <br />WORK <br />[� Addition <br />I7:) Alteration <br />HEAT SOURCE <br />Electric <br />To be determined at Bid <br />TYPE <br />Demolition U Sign <br />TYPE <br />B New <br />Gas <br />Sprinkler <br />Repair/Maim. <br />Other <br />CONTRACT PRICE OF WORK $60 000.00 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />De molition of some interior partitions, construction of new office and waiting area for <br />new medical office. Include const. of shower & suspended ceilings. Electrical, mechanical <br />and sprinkler/plumbing under deferred submittal. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />_ <br />A/C — A/HANDLING UNITS <br />_ <br />P.ATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />__ <br />UNIT HEATERS <br />KITCHEN SINK 8 DISPOSAL <br />CLOTHES L^"ER <br />_ <br />DISHWASHER <br />RANGE HOOD <br />_ <br />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />METAL FiREPLACE/STOVE <br />_ <br />CLOTHES WASHER <br />FIREPLACE INSERT <br />_ <br />URINAL <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />GAS RANGE <br />_ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />_ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ <br />EXHAUST FAN <br />_ <br />OTHER <br />_ <br />OTHER <br />HEREBY CERITIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />I <br />PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />TO GIVE AUTHORITY —O VIOLATE OR CANCEL THE PROVISION OF ANY OTHER <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />STATE OR LOCAL LAW <br />OWNER OF HIS PROPEyqY TO PERFORM THE RK FOR WHICH APPLICATION IS MADE AND; COMPLY WITH THE STATE <br />CONTR T RS LAW 1 .27 AND 296.20 A C. �f <br />Signatur of Owner/Contractor/Aut o ed Agent Date l <br />NOT ACCEPTED <br />D IT & REDIT CARDS ARE <br />